New Jersey must stop pharmacy benefit managers from eliminating patient choice

Key points

• Pharmacy benefit managers operate largely invisibly but significantly impact New Jersey residents' access to prescription drugs
• PBMs control which medications are covered and which pharmacies patients can visit through their insurance plans
• The opinion calls for New Jersey state intervention to regulate PBM practices and preserve patient choice
• Most consumers are unaware of PBMs' influence on their healthcare costs and pharmacy options
• State regulation could prevent PBMs from eliminating patient choice in pharmacy selection

FAQ

What is a pharmacy benefit manager?

A pharmacy benefit manager is a company that sits between insurance providers and pharmacies to manage prescription drug benefits. They decide which medications are covered, set co-pays, and determine which pharmacies patients can use.

Why should New Jersey residents care about PBMs?

PBMs directly impact what medications are available to you, how much you pay for prescriptions, and which pharmacies you can visit. Understanding their role helps patients advocate for better access to affordable medications.

What kind of regulations is the opinion advocating for?

The piece calls for New Jersey state-level regulations that would prevent pharmacy benefit managers from eliminating patient choice, particularly regarding which pharmacies patients can access for their prescriptions.